Individual provider Active NPI

Shivangi Maniar, DO

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1174152342
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22727 Issued in CA
Practice address
9404 Genesee Ave Ste 340
La Jolla, CA 92037-1356
Phone
(858) 221-0344
Fax
(858) 248-4262
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1556 NV
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 22727 CA Primary

Addresses

Primary practice location

9404 Genesee Ave Ste 340
La Jolla, CA 92037-1356

Mailing address

9404 Genesee Ave Ste 340
La Jolla, CA 92037-1356
Phone (858) 221-0344

Other practice location 1

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone (925) 357-8472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611001265 CA Practitioner - Psychiatry 2567904121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

17875 Von Karman Ave
Suite 150
Irvine, CA 92614-6212
Phone (714) 880-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22727CAMDOccupational Therapist
1556NVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince May 1, 2024 Accepting new patients
Unlv Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

17875 Von Karman Ave
Ste 150
Irvine, CA 92614
Phone (424) 532-5927

111 W Ocean Blvd
Ste 400
Long Beach, CA 90802
Phone (562) 786-6557

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1174152342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 340",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371356",
            "telephone_number": "858-221-0344",
            "fax_number": "858-248-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 340",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371356",
            "telephone_number": "858-221-0344",
            "fax_number": "858-248-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Oak Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972078",
            "country_code": "US",
            "telephone_number": "925-357-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "SHIVANGI",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": "1556",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "22727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.